Prevention of ischemic stroke

Czech version

Authors: MUDr. Daniel Václavík
Authors‘ workplace: Vítkovická nemocnice a. s. daniel. vaclavik@nemvitkovice. cz ; Neurologické oddělení a Iktové centrum
Published in: Kardiol Rev Int Med 2013, 15(1): 37-40
Category:

Overview

Treatment of general vascular risk factors (hypertension, diabetes mellitus, hypercholesterolemia) is necessary in primary and secondary prevention of stroke. The most important non-pharmacological approaches are quitting smoking, limited consumption of alcohol, diet containg unsaturated fat, rich in fruits and vegetables, weight reduction and physical exercise. Patients with atrial fibrillation with high risk of embolisation are recommended for anticoagulation treatment with warfarin or direct inhibitors of thrombin or factor X. The men with severe 70% stenosis are recommended for carotid endarterectomy in primary prevention if the perioperative morbidity and mortality risk is estimated to be < 3%. The other patients with carotid artery stenosis are recommended to antiagregation therapy. Patients with cardiogenic stroke are recommended for anticoagulation therapy and those with non cardiogenic stroke for antiagregation therapy. For patients with ischemic stroke and ipsilateral carotid artery stenosis above 70%, carotid endarterectomy is recommended if the perioperative morbidity and mortality risk is estimated to be < 6%.

Keywords:
prevention – vascular risk factors – anticoagulation – endartectomy and stenting

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Labels

Paediatric cardiology Internal medicine Cardiac surgery Cardiology

Arrhythmias and stroke

Antithrombotics in the prevention of cerebrovascular accidents. Part II – Significance of anticoagulant therapy

Blood pressure control in primary and secondary prevention of stroke

Levosimendan in cardiac surgery

The most important diagnostic procedures in acute stroke

Therapy of acute ischemic stroke

Article was published in

Cardiology Review

2013 Issue 1